NR 325 LATEST 2024 4VERSIONS Adult Health
Exam WITH ANSWERS (GRADED A+)
VERSION 1
During the Inflow (Fill) phase of Peritoneal dialysis, how long does it
take to complete? - ANSWER-- approximately 10 minutes
What should be done after the inflow (fill) phase of peritoneal
dialysis is concluded? - ANSWER-- CLAMP the catheter after inflow
is done
How long can fluid stay in the peritoneal for during the Dwell
(Equilibration) phase of peritoneal dialysis? - ANSWER-- 20 minutes
- but can stay in for 8-12 hours
How long does the drainage phase of peritoneal dialysis last for? -
ANSWER-- approximately 30 minutes
What is added to hemodialysis to prevent clotting? - ANSWER--
Heparin
What are the types of hemodialysis? - ANSWER-- Temporary
vascular access
- Arteriovenous fistulas / grafts
Where can a catheter be placed for Temporary vascular access
hemodialysis? - ANSWER-- Internal jugular vein
- Femoral vein
What should be placed prior to a kidney transplant being
preformed? - ANSWER-- Urinary catheter placed into BLADDER
(transplant)
What should be instilled into the bladder prior to kidney transplant
surgery? - ANSWER-- Antibiotic solutions
What does instilling antibiotics into the bladder do prior to having a
kidney transplant? - ANSWER-- Decreases risk of infection
- Distends the bladder
What is the biggest complications that should be monitored for in
post-op care for kidney transplants? - ANSWER-- Infection
- Rejection
What disease is a complication to a kidney transplant? - ANSWER--
Recurrence of kidney disease
What should be monitored immediately after a kidney transplant? -
ANSWER-- Urinary output
What should a nurse do after kidney transplant is done? - ANSWER-
- monitor urinary output/ replace lost fluid via urine
What are some renal complications to a kidney transplant? -
ANSWER-- Acute Tubular necrosis
- Renal artery stenosis
What is a kidney transplant patient at risk for developing? -
ANSWER-- Thrombus formation
What is the purpose of giving tums (Calcium carbonate) to a renal
failure patient with meals? - ANSWER-- Prevents damage to bones
from the high phosphorus levels
If a patient with renal failure has a potassium level of 6.8, what is
the priority action of the nurse? - ANSWER-- Put on cardiac
monitoring
What can hyperkalemia cause? - ANSWER-- dysrhythmias
- seizures
What result of a fasting blood glucose level indicates at risk for
developing diabetes? - ANSWER-- 100-120
What are some reasons for non-normal range of fasting blood
glucose levels? - ANSWER-- Not fasting for 8-12 hours before
- some medications
What is the reasoning for performing a fasting blood glucose test/
2 hours plasma glucose test? - ANSWER-- Aids in the diagnosis of
diabetes
What is the normal range for a 2 hours plasma glucose test for
patients ages 0-50? - ANSWER-- < 140 mg/dL OR 7.4 mmol/L
What is the normal range for a 2 hours plasma glucose test for
patients ages 50-60? - ANSWER-- < 150 mg./dL
What is the normal range for a 2 hours plasma glucose test for
patients ages >60? - ANSWER-- < 160 mg/dL
How many grams of carbohydrates should a patient taking a 2 hour
plasma test consume prior to the exam starting? - ANSWER-- 75
grams
What are some requirements that a patient must comply with
during the 2-hour plasma test? - ANSWER-- no exercising during
the exam
- must fast after initial 75g of carbs are consumed
What are some factors in developing Type 2 diabetes (T2D)? -
ANSWER-- Overweight
- Obesity
- Advanced age
- Family history
- Certain ethnical groups
A nurse plans a class for patients who are newly diagnosed with
T2D. Which goal is most appropriate? - ANSWER-- enable the
patient to become active participants in the management of their
disease
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